Organization Name: | AVATAR HOME HEALTH CARE AGENCY, LLC |
NPI Number: | 1528314820 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FELIX N. CANABAL (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 26003 Oak Ridge Dr Spring |
State: | TX US |
Postal Code: | 773801956 |
Phone Number: | 2814658220 |
Fax Number: | 2812987502 |
NPI Enumeration Date: | 07/24/2012 |
NPI Last Update Date: | 09/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |